Raymond C. Goodman, O.D., P.A. in Gooding - Optometrist

Raymond C. Goodman, O.D., P.A. - NPI 1619000940

Raymond C. Goodman, O.D., P.A. is a Optometrist in Gooding, Idaho. Raymond C. Goodman, O.D., P.A. practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Raymond C. Goodman, O.D., P.A. is 1619000940. The last update date is 2011-01-28.

Raymond C. Goodman, O.D., P.A.'s current location address is 317 Main St, Gooding, Idaho. You can contact this provider via phone number 2089344856 and fax number 2089345818. The mailing address for Raymond C. Goodman, O.D., P.A. is 317 Main St, Gooding, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Raymond C. Goodman, O.D., P.A.
Address 317 Main St, Gooding, Idaho
Phone Number 2089344856
Fax Number 2089345818
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Goodman Clyde Raymond
Credentials O.D.
Telephone Number 2089344856

NPI Number Detail

NPI Number 1619000940
Provider Enumeration Date 2007-03-14
Last Updated Date 2011-01-28

Provider Mailing Address Detail

Address 317 Main St
City Gooding
State Idaho (ID)
Post Code 833301302
Phone Number 2089344856
Fax Number 2089345818

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No ODP-100008
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DA2306 ID RAILROAD MEDICARE
4776340001 ID DMERC

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FAQs about Raymond C. Goodman, O.D., P.A.

What is the unique identifier code issued to Raymond C. Goodman, O.D., P.A. by the Centers for Medicare & Medicaid Services?

The Raymond C. Goodman, O.D., P.A. has been assigned the NPI (National Provider Identifier) 1619000940. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Raymond C. Goodman, O.D., P.A. is physically located?

The Raymond C. Goodman, O.D., P.A. is situated at the following address: 317 Main St, Gooding, ID 833301302.

What is Raymond C. Goodman, O.D., P.A.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Raymond C. Goodman, O.D., P.A. is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.

When did the Raymond C. Goodman, O.D., P.A. receive its 1619000940?

The Raymond C. Goodman, O.D., P.A. was issued its 1619000940 on 2007-03-14, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Raymond C. Goodman, O.D., P.A., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Raymond C. Goodman, O.D., P.A., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-01-28.

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